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  1. psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal
    January 29, 2020 - Commentary Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Citation Text: Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…
  2. psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
    November 21, 2018 - Study Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions. Citation Text: Goldszmidt M, Aziz N, Lingard LA. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discuss…
  3. psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-technical-skills-competency-compliance
    November 16, 2022 - Study Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills. Citation Text: Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical Skills Competency Compliance: Urologic Surgical Sk…
  4. psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patient
    October 29, 2012 - Study A patient safety dilemma: obesity in the surgical patient. Citation Text: Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA J. 2016;84(6):404-412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…
  5. www.ahrq.gov/teamstepps-program/evidence-base/research.html
    June 01, 2023 - TeamSTEPPS Research and Tools Agency for Healthcare Research and Quality. (2006).  TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4. Castner, J. (2012). Validity and reliability of the Brief  TeamSTEPPS Teamwork Perceptions Questionnaire.  Jo…
  6. psnet.ahrq.gov/issue/decision-support-tools-systems-and-artificial-intelligence-cardiac-imaging
    October 19, 2022 - Review Decision support tools, systems, and artificial intelligence in cardiac imaging. Citation Text: Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04…
  7. psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
    June 12, 2013 - Study Copying and pasting of examinations within the electronic medical record. Citation Text: Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic medical record. Int J Med Inform. 2007;76 Suppl 1:S122-8. Copy Citation Format: Google …
  8. psnet.ahrq.gov/issue/implementation-medication-error-reporting-through-med-safe-tool-clinical-pharmacists-and
    December 16, 2011 - Study Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach. Citation Text: Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe Tool. J Patient …
  9. psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
    September 28, 2010 - Study Classic A classification system for incidents and accidents in the health-care system. Citation Text: Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211. …
  10. psnet.ahrq.gov/issue/relationship-between-electronic-health-records-and-malpractice-claims
    August 05, 2009 - Study The relationship between electronic health records and malpractice claims. Citation Text: Quinn MA, Kats AM, Kleinman K, et al. The relationship between electronic health records and malpractice claims. Arch Intern Med. 2012;172(15):1187-9. doi:10.1001/archinternmed.2012.2371. Co…
  11. psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
    August 10, 2016 - Review Blood sampling guidelines with focus on patient safety and identification—a review. Citation Text: Cornes M, Ibarz M, Ivanov H, et al. Blood sampling guidelines with focus on patient safety and identification - a review. Diagnosis (Berl). 2019;6(1):33-37. doi:10.1515/dx-2018-0042.…
  12. psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions
    October 19, 2022 - Review Evidence summary and recommendations for improved communication during care transitions. Citation Text: Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…
  13. psnet.ahrq.gov/issue/identifying-and-reducing-distractions-and-interruptions-pharmacy-department
    August 22, 2015 - Study Identifying and reducing distractions and interruptions in a pharmacy department. Citation Text: Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…
  14. psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
    January 06, 2017 - Study Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database. Citation Text: Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber order entry: analysis of a vo…
  15. psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
    July 30, 2014 - Study Participation in a system-thinking simulation experience changes adverse event reporting. Citation Text: Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.…
  16. psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
    February 15, 2011 - Study Raising the awareness of inpatient nursing staff about medication errors. Citation Text: Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci. 2008;30(2):182-90. Copy Citation Format: Google Sc…
  17. psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern
    July 10, 2017 - Commentary "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. Citation Text: Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…
  18. psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve
    May 29, 2019 - Study Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. Citation Text: Galanter W, Hier DB, Jao C, et al. Computerized physician order entry of medications and clinical decision support can improve problem…
  19. psnet.ahrq.gov/issue/quality-and-strength-patient-safety-climate-medical-surgical-units
    February 15, 2011 - Study Quality and strength of patient safety climate on medical–surgical units. Citation Text: Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. Copy…
  20. psnet.ahrq.gov/issue/sterile-compounding-clinical-legal-and-regulatory-implications-patient-safety
    March 20, 2024 - Review Sterile compounding: clinical, legal, and regulatory implications for patient safety. Citation Text: Qureshi N, Wesolowicz L, Stievater T, et al. Sterile compounding: clinical, legal, and regulatory implications for patient safety. J Manag Care Spec Pharm. 2014;20(12):1183-1191. …